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Case 16 - A 45-Year-Old Female with Multifocal VIN

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 45-year-old female presents to the office with itching in the vulvar area. The symptoms have been present for several weeks and are progressively getting worse. She recently felt some skin thickening between the vaginal introitus and anus. Her history is remarkable for genital warts that resolved after cryotherapy 10 years ago. Additionally, she had a loop electrosurgical excision procedure (LEEP) procedure six years ago for severe cervical dysplasia but has had normal cervical cytology on follow-up.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 42 - 44
Publisher: Cambridge University Press
Print publication year: 2021

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References

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Bornstein, J, Bogliatto, F, Haefner, HK, et al. The 2015 International Society for the Study of Vulvovaginal Disease (ISSVD) Terminology of Vulvar Squamous Intraepithelial Lesions. Obstet Gynecol 2016; 127: 264–8.CrossRefGoogle Scholar
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Wallbillich, JJ, Rhodes, HE, Milbourne, AM, et al. Vulvar intraepithelial neoplasia (VIN 2/3): comparing clinical outcomes and evaluating risk factors for recurrence. Gynecol Oncol 2012; 127: 312–15.CrossRefGoogle ScholarPubMed
Satmary, W, Holschneider, CH, Brunette, LL, Natarajan, S. Vulvar intraepithelial neoplasia: risk factors for recurrence. Gynecol Oncol 2018; 148: 126–31.CrossRefGoogle ScholarPubMed

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